DR. POLO ALBERTO BANUELOS M.D.
NPI 1003072646
Psychiatry & Neurology - Neurology in San Antonio, TX

Q: What is Polo Banuelos's NPI number?

The NPI number for Polo Banuelos is 1003072646. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Q: What is Polo Banuelos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Polo Banuelos was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2008PECOS EnrolledAccepts Medicare Assignment

11212 STATE HIGHWAY 151, MEDICAL PLAZA 1, SUITE 200, SAN ANTONIO, TX 78251(210) 520-7160(210) 520-7190 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Oct 13, 2021, Aug 10, 2016 (3 updates tracked since 2016).

On this page

About Dr. Polo Alberto Banuelos M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. POLO ALBERTO BANUELOS M.D. (NPI 1003072646) is an individual neurology provider in San Antonio, Texas, licensed in Florida (ME158919) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003072646

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. POLO ALBERTO BANUELOSCredential: M.D.

Location Address11212 STATE HIGHWAY 151, MEDICAL PLAZA 1, SUITE 200San Antonio, TX 78251-4498

Mailing Address9730 Westover Hills Blvd Ste 105San Antonio, TX 78251-4842 · (210) 520-7160 · Fax (210) 520-7190

Phone(210) 520-7160

Fax(210) 520-7190

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2004

Enumeration DateAugust 4, 2008

Last NPPES UpdateFebruary 27, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 26, 2022

✔ NPI 1003072646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in FL · ME158919✔ Licensed in TX · M9832

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

11212 STATE HIGHWAY 151, San Antonio, TX 78251

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Secondary Practice Locations 2

Location 11055 Bowles Ave, Suite 200St. Louis, MO 63117 · Phone (314) 925-4773

Location 2300 Pinellas St # 47Clearwater, FL 33756-3804 · Phone (727) 462-7907 · Fax (727) 462-7904

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Moda Health Plan, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Polo Alberto Banuelos M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537219217

PECOS Enrollment IDI20221114000452

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

199 services194 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

121 services89 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

114 services95 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number100067

Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78251 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

23%166 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEATON DUTY DO

Student in an Organized Health Care Education/Training Program

11212 STATE HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

ANDREA PEREZ FNP-BC

Nurse Practitioner (Family)

11212 STATE HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

DR. CHINTALBEN D SHAH M.D.

Family Medicine

11212 STATE HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

ALEXIS RAGSDALE

Advanced Practice Midwife

11212 STATE HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 557-4233

SAJNEET KAUR KHANGURA MD

Internal Medicine (Gastroenterology)

11212 STATE HIGHWAY 151, MEDICAL PLAZA 1, STE 250
SAN ANTONIO, TX 78251

Bexar County (210) 614-1234

DR. DELIO ORTEGON III M.D.

Plastic Surgery

11212 STATE HIGHWAY 151, SUITE 260
SAN ANTONIO, TX 78251

Bexar County (210) 614-4320

WESTOVER HILLS FAMILY DENTAL CARE, LP

Dentist

11212 STATE HIGHWAY 151, STE # 290
SAN ANTONIO, TX 78251

Bexar County (210) 257-0953

DAVANTE JOHN WILSON DO

Student in an Organized Health Care Education/Training Program

11212 STATE HIGHWAY 151
SAN ANTONIO, TX 78251

Bexar County (210) 703-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Polo Banuelos's NPI number?

The NPI number for Polo Banuelos is 1003072646. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Polo Banuelos located?

Polo Banuelos practices at 11212 State Highway 151 Medical Plaza 1, Suite 200, San Antonio, TX 78251. The listed phone number is (210) 520-7160.

What is Polo Banuelos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Polo Banuelos enrolled in Medicare?

Yes. Polo Banuelos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Polo Banuelos accept?

Health plans from AvMed, Moda Health Plan, Inc. and Oscar Insurance Company list Polo Banuelos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Polo Banuelos affiliated with any hospitals?

According to CMS data, Polo Banuelos is affiliated with St Anthonys Hospital.

When was this NPI record last updated?

The NPPES record for Polo Banuelos was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.